- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28,183.83 / $39,810.72 / $51,286.14
| Facility | | $28,183.83 | $39,810.72 | $51,286.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,738.03 / $40,738.03 / $40,738.03
| Facility | | $40,738.03 | $40,738.03 | $40,738.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $34,673.69 / $47,863.01
| Facility | | $23,988.33 | $34,673.69 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,877.62 / $41,686.94 / $58,884.37
| Facility | | $21,877.62 | $41,686.94 | $58,884.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,988.33 / $38,904.51 / $47,863.01
| Facility | | $23,988.33 | $38,904.51 | $47,863.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19,498.45 / $41,686.94 / $58,884.37
| Facility | | $19,498.45 | $41,686.94 | $58,884.37 |